Organization
PINE RIVER EYE CENTER, INC.
Active
Other names
Associates In Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S. MARVIN O.D. (CEO)
(218) 587-2020
Entity
Organization
Contact information
Practice address
424 BARCLAY AVE., PINE RIVER, MN 56474-0457
(218) 587-2020
(218) 587-3229
Mailing address
PO BOX 457, PINE RIVER, MN 56474-0457
(218) 587-2020
(218) 587-3229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1895
MN
Other
Enumeration date
08/02/2006
Last updated
09/30/2015
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